Daren Landis Peace in Louisville - Dentist
Daren Landis Peace - NPI 1619040995
Daren Landis Peace is a Dentist in Louisville, Kentucky. Daren Landis Peace practices all healthcare services and medical treatments related to Dentist. The NPI Number for Daren Landis Peace is 1619040995. The last update date is 2013-08-23.
Daren Landis Peace's current location address is 9709 Dixie Hwy, Louisville, Kentucky. You can contact this provider via phone number 5029337363 and fax number 5028051957. The mailing address for Daren Landis Peace is 9709 Dixie Hwy, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daren Landis Peace |
|---|---|
| Address | 9709 Dixie Hwy, Louisville, Kentucky |
| Phone Number | 5029337363 |
| Fax Number | 5028051957 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1619040995 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2013-08-23 |
Provider Mailing Address Detail
| Address | 9709 Dixie Hwy |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402723939 |
| Phone Number | 5029337363 |
| Fax Number | 5028051957 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8102 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100137020 | KY | -- |
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What is the unique identifier code issued to Daren Landis Peace by the Centers for Medicare & Medicaid Services?
The Daren Landis Peace has been assigned the NPI (National Provider Identifier) 1619040995. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Daren Landis Peace located?
The Daren Landis Peace is located at 9709 Dixie Hwy, Louisville, KY 402723939.
What is Daren Landis Peace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Daren Landis Peace is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619040995 to Daren Landis Peace?
The Daren Landis Peace received its 1619040995 assignment from the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the Daren Landis Peace's information last updated?
The Daren Landis Peace's information was last updated on 2013-08-23.